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HomeMy WebLinkAbout035-221-01435-221-14 Ray J. Sprague 4927 Virginia Ave., 0 ville 1� Permit #1031-76B,P,E, new single family) CONTR: Mauldin & 35-221-1tOrovilSons Plb Permit #1828-76p gle ation/SF) (bilding seinstall 35-221-14 NEW OWNER . LARK-- Y G�BBS L-4927ginia Avenue, .OroviIle__orner Construction, Palermo 91-82B(add patio cover & entry r S'a- ti it 11 a 1 o ' PERMIT NO. 3191-82B PERMIT EXPIRES O _ OWNER LARRY GRUBBS CONTR. Horner.Construction, Croville ASSESSOR PARCEL 19-221-14 ' LOCATION 4927 Virginia Avenue, Oroville _ r i Temp. Power Pole ( Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E s JOB FINALED (Date) Signatur - = OK = Not OK = Not Applicable RESIDENTIAL,,,(Sin� = Not Ready .le and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements , 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / -/" Ftg. Depth -49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54., Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -Bl. Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. •G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. 25. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size 72. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E) No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. 83. Glass Protection Corrections from Previous Inspections Date MECHANICAL (Permit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors _ 37. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. _Bearing Walls over Girders & Floor Nailing_ --___39. Draft Stop in Walls (rat proof) _ 40. 41. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing i _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOT E: An entry must be made each time you vi sit job site) V = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, CdVrF3S, CARPORTS, 'ETC. (Plans) G . axcept.ii'; 1. Zoning Requirements -Setbacks -Easements . zoni ' Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch a, -Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) - ood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.•--Bracin_g__ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5t Alum. Awn.; Columns-Connections-Splice-Decal-Enclos;.res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card - BI Date C_a-BI _Dat, and -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date .� Date 7— Card -BI Date _ POOLS (Plans) OK except N's 1. -Setbacks-Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances _ 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -B1 Date fY N COUNTY.OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIM AND PERMIT /r PERMIT NO. ASSES q.JR PARCEL NUM ER ,7—Z2� _ /t� ZONI j BUILDING PERMIT owyvE��„r,, , �7+p�s TELEPHONE SQ. FT. OCC. BUILDING VAL ATIO IO� OW(NNER'SSMMMAA`IILINGCJAIDt-DDR/1ESSSS C TRaC/\— AME /j 7) 7C (AS S C/O TRA T//OR'S M ILING J9)4? lD/j//j /��` ,//J! �P�� � Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ OV Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ J9.00 ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $ �, V0 Penalty $ ARCHITECT OR ENGINR'S MAILING ADDRESS Permit fee $ ._JJ1 pQ But}p�A DRES ! �/ PLUMBING PERMIT Filing Fee 10.00 Each Trap - 2.00 Solar Water Heater, 20.00 o�, _ Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFDuplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00 e ' TYPE OF WORK New ❑ Addition Remodel, Utilities ❑ nstallatio Other Describe work: 0,177% 4X � Permit Fee $ -,Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. SLOGS. 2t/20sgit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (❑' I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. Y License No(Z%t_6/ r% 13Classification � ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR.( MULTI -OUTLET NON.RESID, BRANCH CIRC ITS 2.50 ea NEW -CONSTR POWER APPARATUS & NONRESID, SINGLE OUTLET CTR, 1 / Ex. Occu 20@g0` PI o X OR FIXTURES 9ALe3o IED A `` Ex. Occup. OUTLETS PIRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 11"shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue aid Count in c equence of the granting of this permit. ,%S Date Signature of Applicant — Owner ❑ Controctor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ J�S.00) OSCU,P, GROUP /U�� r TYPE iE of `4N5T. PARCEL PD HD ss This permit is hereby issued under sions of .the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 1- Receipt No. Z'Jv/ WHITE-D.P.W., YELLOW -AS SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 1 PERMIT NO. 1031-76B,P,E,M PERMIT EXPIRES I OWNER RAY J. SPRAGUE CONTR. owner OCATION (Ay 35-221-14 � 4927 Virginia Ave., oroville I r r a Temp. Powe Pole = Called G&E Temp. EI c. Serv. 8' Cal d PG&E Temp Gas Serv. %' 2- `.7G alled PG&E 7 e \ INALED (Date) _,(Signatur) 1� OL COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS ® Id- a (6/l�%e. r� ssef�/G.� 7��rsS� 5 1� J 7J Q a/-rcll"5'/sem Ok 3 7G /��a a� ��� �•fs ; �,-�,v--�. •C� ,mac y . (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback - 7 Firewall - Z8 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings - 2 - -7e Windows -- 3rd Floor Stemwall Siding To out 1 JP Slab j - - Roof Sheathing S^- % /- 4C Water Piping Piers Roofing -G �"? Sewer 4 •- /-5 Garage Fdn. Vents Fixtures 7 - Z -7,c Footings - --7 Garage Vents Water Htr. '62 / - Stemwall Slab --2-q-74 Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of structure Gas Pi ing & Test Temp. Gas Slab 'Z 7G Final Sanitation Patio FIREPLACE Final 7 - 2 Footings Footing ELECTRICAL Masonry Walls Throat Rough �-' Reinf. Steel Final Fixtures - 2- -'7 Bond Beam FIRE SPRINKLERS Motors Framing -1 Z Test Water Htr. Stucco Final Subpanels Mesh MECHANIC Grd. Fault Prot. Scratch Heating �/ �-Zw'o Service Brown Cooling -7� Temp. Pole Finish Ducts • Underground Interior Lath 5 e- io Ventilation Permanent Door Closer r7 +- Z9- 7G Final R - G">- 7e-- Final DATE REMARKS OR CORRECTIONS ® Id- a (6/l�%e. r� ssef�/G.� 7��rsS� 5 1� J 7J Q a/-rcll"5'/sem Ok 3 7G /��a a� ��� �•fs ; �,-�,v--�. •C� ,mac y . (NOTE: An entry must be made on this form each time you visit the job site.) Fiber Glass Insulation BUILDERS INSULATION STATEMENT BLOWN INSULATION Manufacturer's minimum thickness to provide the level of insulation resistance (R) Values as shown: R Values are determined in accordance with ASTM C-687 and C-236. Conforms to Federal Specification HHI-1030A. This insulation has been installed in conformance with th above recom- mendations to provide a value of Rau ' Z ags of insula- tion to cover aW square feet of are r _ Insulation Contractor (Sign) Bui er (Sign) Company Name Corn ame BATTS AND BLANKET yate R INSULATION R INSULATION VALUE THICKNESS VALUE THICKNESS R-22 61/2/1 R-13 35/s" Meets Federal R-19 6" R-11 31/2" Specification HHI-521 E Fiber glass batts or rolls have been installed in r ce with the manufacturer's recommendation to provide -Valu in the ceiling, 14 in the exterior walls, in th o r or crawl space perimeter. l InsuIatig ontractor (Sign) Bui der (Sig ) Company Name Co719, Name 7 CSG -32-11-C Date CERTAIN -TEED PRODUCTS CORPORATION. P.O. BUX 860', VALLEY'FORGE, PA. 19482 C CERTAINTEED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center vrive Orovilie, California 95965 Tel ephor;e: X534-4541 . APPLICATION AND PERMIT autrlunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'f`'v`'`�.� G �=^o Date Signature of Perm`iteee or Agent Receipt No. White-D.P.W. — Yellow-A"ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date g permit expires Date 7,_ 0 BUILDING Owner P—N-/ 3, <E'pP A� �� SQ. FT. OCC. BUILDING VALUATION Mailing Address EQ. boY, t (L, Telephone No. --LT. 2_ Fireplace Contractor ® S Total Valuation Mailing Address ,' Permit Fee Plan Checking Fee &/or Penalty 6) Roy ( LL,. Telephone No. Permit Fee $ Building Address ro 9 S-77 V I I� (til / A df . PLUMBING No. @ FEE 4 PERMIT FILING FEE $3.00 Q® V I LLE Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. --Z� ( n'"� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 44s- 1 W!e. Sani4etrM Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,00 EQA Parking Plans Parcel Declaration Parcel 'Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI Mr. a Parcel Approval Plans Approval Permit Fee $ 91 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 12 ���!�� A , li' ((./� �`( ��V� ✓�„{\k(."(_ Main service 100 AMPOR 5.00 -7 Main service EA. ADD'L 100 AMP 2.50 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACC. BLOGg,DWELLING CCUP. &) 20sq ft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea _ NEW CONSTR. POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style Of: _ �- � � (JET-•sV•� �G/�'G-`j1♦/( vwv ►u�-fit Ex. Occup(OUTLETS OR FIXTURES) 2@51004 FIXED APP LNS, OR Ex. Occup..(OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. _Z2'* Y- S^%Classification C-3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation J2.00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $j autrlunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'f`'v`'`�.� G �=^o Date Signature of Perm`iteee or Agent Receipt No. White-D.P.W. — Yellow-A"ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date g permit expires Date 7,_ 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive —!Oi�oviIIe,walifornia95965 Telephone: 534-4541 - APPLICATION AND PERMIT 7% , r7 r Jll • Date Signa e o er i e or Agent Receipt N- 403 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant auove wr which Tees have been paid. DIRECTOR 0 ELIC WORKS ByDate Building permit expires Date -—ZZ -77 BUILDING - Owner S SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 /936 tat) r— Telephone No. �`f© -� Fireplace Contractor A) Total Valuation 17-156 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ vA a ®1 Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 _', qp0 Each Trap 1.50 Q Repair drainage or vent piping 1.50 Water piping 1.50 CQ r (W=_.. Each gas water heater or vent i• 1.50 A. P. No. �� = a v Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FPWI a o Fire Dept, Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcelparcel Plans Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg.�lans Recd Parcel pproval Plans Approval Permit Fee $ o $ 175 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 e©on) Main service ;$°o AMP OR1 OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER OEAMP OR LESS 25.00 Main service EA, ADD•L too AMP 1.00 NEW CONST. DWELLINOC UP, & OR ADDNS. ACC. BLGDGS, 7„) 2�sgft NEWCONSTR. MULTI -OU LET NON .RESID. (BRANCH CIRCUITS) 12.50ea NEW CONST- POWER APPARATUS &) NON.R R ESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C rnia Business & Professions Code under the,name of J O 70�l Ex. Occup(OUTLETS OR FIXTURES) BAL@251` FIXEstyle TS (REAPPLNS, OR EX. Occup (OUTLETS OUTLETS (RESID) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ® Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liabilityin for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is corr . I agree comply to all County Ordinances and State L r ating t wilding construction, and hereby n •ves of a County of Butte to enter upon the authori�ntione above- rop rtyJfr inspection purposes. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating �j�r v Cooling 11A, ar�2 Ventilation Hood 2.00 CiO Permit Fee $ a 00 $ zZloc TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated Jll • Date Signa e o er i e or Agent Receipt N- 403 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant auove wr which Tees have been paid. DIRECTOR 0 ELIC WORKS ByDate Building permit expires Date -—ZZ -77